13 Aug
|
Cosentus
|
New Delhi
13 Aug
Cosentus
New Delhi
Full-Stack AI Engineer – Healthcare RCM
Location:
Recent Delhi, India
Workplace Type:
Hybrid
Employment Type:
Full-time
Company:
Cosentus LLC
About the Role
Cosentus is hiring a
Full-Stack AI Engineer with mandatory healthcare Revenue Cycle Management experience
.
You will build and improve production-grade AI applications across medical coding, eligibility verification, claim submission, claim-status tracking, denial management, EOB/ERA processing, payer follow-up and revenue-cycle analytics.
Our platforms work across core RCM workflows including CPT/ICD coding, charge entry, X12 837 claim submission, payer adjudication, EOB extraction and denial categorization.
This is not a general-purpose AI role. Candidates must understand how healthcare claims and payer workflows operate.
Key Responsibilities
- Design and develop full-stack applications for healthcare RCM workflows.
- Build AI and LLM-based systems for:
- Medical coding
- Eligibility verification
- Claim-status follow-up
- Denial identification and root-cause analysis
- EOB and ERA extraction
- Payment and underpayment analysis
- Appeals and revenue-recovery workflows
- Process and normalize healthcare data including:
- X12 837 claims
- X12 835 remittances
- ERA and EOB documents
- CPT, ICD-10, CARC and RARC codes
- Build APIs, backend services, databases and responsive user interfaces.
- Integrate with payer portals, clearinghouses, EHRs, practice-management systems and third-party healthcare APIs.
- Develop LLM workflows using prompt engineering, RAG, structured outputs, tool calling and AI agents.
- Build OCR and document-processing pipelines for clinical notes, EOBs and supporting documentation.
- Implement confidence scoring, validation rules, human review and continuous feedback loops. Cosentus workflows use confidence-based automation, structured financial extraction and human review for lower-confidence results.
- Monitor accuracy, latency, reliability and cost of AI workflows.
- Ensure systems
📌 Full-Stack AI (New Delhi)
🏢 Cosentus
📍 New Delhi